Level 3 Excision/Biopsy/Incision and Drainage in Ohio
What 118 hospitals in Ohio charged and were paid for level 3 excision/biopsy/incision and drainage (APC 5073), from 2024 Medicare claims.
Average charge
$17,360
Hospital list price billed
Average allowed
$2,383
Medicare's payment + patient's share
Medicare paid
$1,887
Average per service
State rank
#9 of 49
1 = lowest average payment
Hospitals in Ohio billed an average of $17,360 for level 3 excision/biopsy/incision and drainage, about 7.3 times the average medicare-allowed amount of $2,383. That payment is 12% below the U.S. average of $2,697.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $2,383Billed $17,360
About 14¢ was paid for every $1 hospitals in Ohio billed for this service.
Ohio hospitals: level 3 excision/biopsy/incision and drainage
Every Ohio hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Cleveland Clinic - Main CampusCleveland | 703 | $14,022 | $2,402 | $1,908 |
| Arthur G James Cancer HospitalColumbus | 676 | $18,990 | $2,523 | $2,008 |
| University Hospitals of ClevelandCleveland | 250 | $15,128 | $2,317 | $1,835 |
| Toledo Hospital theToledo | 190 | $20,073 | $2,457 | $1,942 |
| University Hospital, INCCincinnati | 136 | $18,013 | $1,874 | $1,488 |
| Miami Valley HospitalDayton | 135 | $23,261 | $2,430 | $1,917 |
| Christ HospitalCincinnati | 133 | $18,440 | $2,438 | $1,935 |
| Fairview HospitalCleveland | 110 | $13,845 | $2,391 | $1,895 |
| Bethesda North HospitalCincinnati | 109 | $11,168 | $2,471 | $1,968 |
| Marietta Memorial HospitalMarietta | 92 | $18,050 | $1,670 | $1,189 |
| Riverside Methodist HospitalColumbus | 89 | $20,204 | $2,518 | $1,999 |
| Mercy St Vincent Medical CenterToledo | 81 | $28,855 | $2,488 | $1,965 |
| Hillcrest HospitalCleveland | 80 | $15,615 | $2,426 | $1,931 |
| Good Samaritan HospitalCincinnati | 77 | $10,767 | $2,471 | $1,969 |
| St Rita's Medical CenterLima | 76 | $27,935 | $2,430 | $1,932 |
| Kettering Medical CenterKettering | 74 | $30,384 | $2,523 | $2,003 |
| Summa Health System - Akron CampusAkron | 70 | $19,277 | $2,390 | $1,899 |
| Genesis Healthcare SystemZanesville | 68 | $13,825 | $2,590 | $2,064 |
| Firelands Community HospitalSandusky | 64 | $13,721 | $2,358 | $1,863 |
| Aultman HospitalCanton | 64 | $10,987 | $2,290 | $1,803 |
| Ohiohealth Mansfield HospitalMansfield | 64 | $15,085 | $2,487 | $1,978 |
| Cleveland Clinic - Akron GeneralAkron | 61 | $15,685 | $2,386 | $1,893 |
| Southwest General Health CenterMiddleburg Heights | 61 | $14,969 | $2,246 | $1,784 |
| Metrohealth SystemCleveland | 60 | $16,962 | $1,588 | $1,095 |
| Grant Medical CenterColumbus | 53 | $22,588 | $2,541 | $2,021 |
| Blanchard Valley Health AssnFindlay | 50 | $11,152 | $2,328 | $1,855 |
| Mercy Hospital ClermontBatavia | 50 | $12,260 | $1,315 | $1,047 |
| UH Regional HospitalsRichmond Heights | 47 | $14,696 | $2,374 | $1,892 |
| Lake Hospital SystemPainesville | 47 | $15,755 | $2,333 | $1,855 |
| Kettering Health DaytonDayton | 47 | $22,128 | $2,043 | $1,628 |
| Ashtabula County Medical CenterAshtabula | 45 | $10,769 | $2,498 | $1,972 |
| Southern Ohio Medical CenterPortsmouth | 44 | $13,381 | $2,496 | $1,964 |
| Dublin Methodist HospitalDublin | 43 | $21,858 | $2,248 | $1,780 |
| Parma Community General HospitalParma | 41 | $15,941 | $2,426 | $1,933 |
| University Hospitals Ahuja Medical CenterBeachwood | 41 | $16,673 | $2,319 | $1,838 |
| Jewish Hospital, LLCCincinnati | 40 | $19,281 | $2,471 | $1,968 |
| Ohio State University HospitalsColumbus | 40 | $23,446 | $2,550 | $2,031 |
| Adena Regional Medical CenterChillicothe | 37 | $18,820 | $2,487 | $1,982 |
| Crystal Clinic Orthopaedic CenterAkron | 36 | $13,408 | $2,427 | $1,929 |
| Soin Medical CenterBeaver Creek | 36 | $24,499 | $2,380 | $1,896 |
| St Elizabeth Health CenterYoungstown | 35 | $17,317 | $2,418 | $1,925 |
| Fairfield Medical CenterLancaster | 34 | $13,584 | $2,541 | $2,023 |
| Mount Carmel HealthColumbus | 32 | $20,931 | $2,530 | $2,008 |
| Atrium Medical CenterMiddletown | 32 | $21,939 | $2,345 | $1,841 |
| Doctors HospitalColumbus | 32 | $20,764 | $2,511 | $2,001 |
| Surgical Hospital at SouthwoodsYoungstown | 32 | $12,040 | $2,418 | $1,926 |
| Marion General HospitalMarion | 31 | $17,126 | $2,487 | $1,980 |
| Mercy Hospital FairfieldFairfield | 31 | $21,428 | $2,471 | $1,969 |
| Fort Hamilton Hughes Memorial HospitalHamilton | 30 | $25,466 | $2,412 | $1,897 |
| St Joseph Health CenterWarren | 30 | $18,212 | $2,379 | $1,888 |
| Upper Valley Medical CenterTroy | 30 | $23,461 | $2,366 | $1,871 |
| Trinity Medical Ctr East&Trinity Medical Ctr WestSteubenville | 30 | $10,741 | $2,354 | $1,856 |
| West Chester Medical CenterWest Chester | 30 | $17,250 | $2,405 | $1,903 |
| Licking Memorial HospitalNewark | 29 | $13,259 | $2,419 | $1,913 |
| Mercy Franciscan Hospital - Mt AiryCincinnati | 28 | $22,377 | $2,471 | $1,965 |
| Kettering Medical Center - SycamoreMiamisburg | 28 | $23,611 | $2,550 | $2,032 |
| Mercy Medical CenterCanton | 27 | $16,289 | $2,418 | $1,926 |
| St John Medical CenterWestlake | 27 | $17,602 | $2,426 | $1,933 |
| Grady Memorial HospitalDelaware | 25 | $20,107 | $2,461 | $1,941 |
| Summa Western Reserve HospitalCuyahoga Falls | 24 | $23,656 | $2,418 | $1,926 |
| Wooster Community HospitalWooster | 23 | $6,418 | $2,431 | $1,937 |
| Holzer Medical CenterGallipolis | 23 | $8,369 | $2,334 | $1,843 |
| Mount Carmel St Ann's HospitalWesterville | 22 | $16,763 | $2,541 | $2,019 |
| Cleveland Clinic Avon HospitalAvon | 22 | $19,320 | $2,426 | $1,933 |
| Lima Memorial Health SystemLima | 21 | $32,736 | $2,487 | $1,979 |
| Medina HospitalMedina | 21 | $17,343 | $2,334 | $1,841 |
| Salem Community HospitalSalem | 20 | $11,119 | $2,418 | $1,926 |
| St Elizabeth Boardman Health CenterYoungstown | 20 | $19,694 | $2,418 | $1,925 |
| Fisher Titus Memorial HospitalNorwalk | 17 | $9,698 | $2,431 | $1,937 |
| Community Hospitals and Wellness CentersBryan | 15 | $16,070 | $2,539 | $2,023 |
| Marymount HospitalGarfield Heights | 15 | $13,030 | $2,426 | $1,933 |
| Southeastern Ohio Regional Medical CenterCambridge | 15 | $15,664 | $2,417 | $1,913 |
| McCullough-Hyde Memorial HospitalOxford | 14 | $11,647 | $2,330 | $1,828 |
| South Pointe HospitalWarrensville Heights | 14 | $12,838 | $2,322 | $1,850 |
| Mercy Regional Medical CenterLorain | 14 | $17,612 | $2,426 | $1,933 |
| Trihealth Clinton Regional HospitalWilmington | 14 | $17,927 | $2,418 | $1,918 |
| Wilson Memorial HospitalSidney | 13 | $16,338 | $2,550 | $2,032 |
| Springfield Regional Medical CenterSpringfield | 13 | $17,632 | $2,530 | $2,016 |
| Mercy Hospital of TiffinTiffin | 13 | $15,970 | $2,431 | $1,936 |
| Memorial HospitalFremont | 12 | $10,283 | $1,942 | $1,449 |
| Ohio Valley Medical Center, LLCSpringfield | 12 | $11,632 | $2,381 | $1,863 |
| Kettering Health TroyTroy | 12 | $26,334 | $2,430 | $1,936 |
| University Hospitals Portage Medical CenterRavenna | 11 | $17,107 | $2,418 | $1,926 |
| Memorial Hospital of Union CountyMarysville | 11 | $19,476 | $2,541 | $2,024 |
| University Hospitals - Elyria Medical CenterElyria | 11 | $20,273 | $2,426 | $1,933 |
| Mercy Hospital AndersonCincinnati | – | – | – | – |
| Samaritan Hospital - Peoples HospitalAshland | – | – | – | – |
| Union HospitalDover | – | – | – | – |
| O'bleness Memorial HospitalAthens | – | – | – | – |
| Wood County HospitalBowling Green | – | – | – | – |
| Grand Lake Health SystemSt Marys | – | – | – | – |
| Knox Community HospitalMt Vernon | – | – | – | – |
| Wayne HospitalGreenville | – | – | – | – |
| University of Toledo Medical CenterToledo | – | – | – | – |
| Trumbull Memorial HospitalWarren | – | – | – | – |
| Mercer County Joint Township Community HospitalColdwater | – | – | – | – |
| Van Wert County HospitalVan Wert | – | – | – | – |
| East Ohio Regional HospitalMartins Ferry | – | – | – | – |
| Euclid HospitalEuclid | – | – | – | – |
| Lutheran HospitalCleveland | – | – | – | – |
| East Liverpool City HospitalEast Liverpool | – | – | – | – |
| Bellevue HospitalBellevue | – | – | – | – |
| Coshocton County Memorial HospitalCoshocton | – | – | – | – |
| Alliance Community HospitalAlliance | – | – | – | – |
| Berger HospitalCircleville | – | – | – | – |
| Madison County Hospital INCLondon | – | – | – | – |
| Mary Rutan HospitalBellefontaine | – | – | – | – |
| Bay Park Community HospitalOregon | – | – | – | – |
| Institute for Orthopedic SurgeryLima | – | – | – | – |
| Mount Carmel New Albany Surgical HospitalNew Albany | – | – | – | – |
| Mercy Hospital of DefianceDefiance | – | – | – | – |
| Kings Daughters Medical Center OhioPortsmouth | – | – | – | – |
| Avita OntarioOntario | – | – | – | – |
| Lake Health Beachwood Medical CenterBeachwood | – | – | – | – |
| Mercy Health Kings Mills Hospital LLCMason | – | – | – | – |
| Children's Hosp Medical CenterCincinnati | – | – | – | – |
| Nationwide Children's HospitalColumbus | – | – | – | – |
| Dayton Childrens HospitalDayton | – | – | – | – |
Lowest and highest allowed amounts in Ohio
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Mercy Hospital ClermontBatavia, OH | $1,315 |
|---|---|
| Metrohealth SystemCleveland, OH | $1,588 |
| Marietta Memorial HospitalMarietta, OH | $1,670 |
| University Hospital, INCCincinnati, OH | $1,874 |
| Memorial HospitalFremont, OH | $1,942 |
Highest
| Genesis Healthcare SystemZanesville, OH | $2,590 |
|---|---|
| Ohio State University HospitalsColumbus, OH | $2,550 |
| Wilson Memorial HospitalSidney, OH | $2,550 |
| Kettering Medical Center - SycamoreMiamisburg, OH | $2,550 |
| Mount Carmel St Ann's HospitalWesterville, OH | $2,541 |
Level 3 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 3 excision/biopsy/incision and drainage cost in Ohio?
In 2024 Medicare data, level 3 excision/biopsy/incision and drainage (APC 5073) at 118 hospitals in Ohio was billed at $17,360 on average, while the average medicare-allowed amount was $2,383, of which Medicare paid $1,887. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this service in Ohio, average charges were 7.3 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.